OrganizationActive
Kmart Pharmacy 3022
NPI 1912361619 · Pharmacist · Bristol, TN
Kmart Pharmacy 3022 is a Pharmacist organization in Bristol, TN (NPI 1912361619).
Provider details
- NPI number
- 1912361619
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Charles Roberts, Pharmacist(423) 968-7032
- License
- 36205 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2854 W State St
Bristol, TN 37620-1711
Phone: (423) 968-7032
Fax: (847) 396-2508
Street-level locationGet directions
Mailing address
2854 W State St
Bristol, TN 37620-1711
Registry dates
- Enumerated
- 2016-04-08
- Last updated
- 2016-04-08
Frequently asked questions
- What is Kmart Pharmacy 3022's NPI number?
- Kmart Pharmacy 3022's National Provider Identifier (NPI) is 1912361619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kmart Pharmacy 3022?
- Kmart Pharmacy 3022 is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Kmart Pharmacy 3022 located?
- Kmart Pharmacy 3022's practice location on file with NPPES is 2854 W State St, Bristol, TN 37620-1711.
- What is Kmart Pharmacy 3022's phone number?
- The practice phone number listed in the NPPES registry for Kmart Pharmacy 3022 is (423) 968-7032.
- Who is the authorized official for Kmart Pharmacy 3022?
- The authorized official listed on Kmart Pharmacy 3022's NPPES record is Charles Roberts, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kmart Pharmacy 3022's NPI active?
- Yes — Kmart Pharmacy 3022's NPI (1912361619) is active in the NPPES registry as of the last update on 2016-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.